15 JMH Project of the Year Form 2016(1)

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Deadline: December 3, 2015
(One hard copy and one PDF on CD)
Primary Contractor
Project Name
_________________________________________________
Name
___________________________________
_________________________________________________
Title
Project Completion Date
_________________________________________________
Agency/Organization
Must be substantially completed (90%) and available for public
use as of December 31, 2015.
_______________________________________________
_________________________________________________
Address (if post office box, include street address)
Public Agency
__________________________________________
___________________________________
__________________________________________
City
State/Province
Phone
Zip/Postal Code
Fax
Project Category
 Structures
 Transportation
 Environment
 Historical Restoration/Preservation
 Disaster or Emergency Construction/Repair
Project Division
 Less than $5 Million
 $5 Million, but less than $25 Million
 $25 Million - $75 Million
 More than $75 Million
__________________________________________
Name
__________________________________________
Title
__________________________________________
Agency/Organization
__________________________________________
Address (if post office box, include street address)
__________________________________________
State/Province
Zip/Postal Code
__________________________________________
Phone
Fax
__________________________________________
E-mail
E-mail
Primary Consultant
_________________________________________________
Name
_________________________________________________
Title
_________________________________________________
Agency/Organization
Managing Agency
City
__________________________________________
_________________________________________________
Address (if post office box, include street address)
_________________________________________________
City
State/Providence
Zip/Postal Code
_________________________________________________
Phone
Fax
_________________________________________________
Email
Continued….
Please address each of the following areas in
your nomination, adhering to the sequence
below when possible.

Completion date contained in contract. Any time
extensions granted should be addressed in the
submittal.

Construction schedule, management, and control
techniques used. Use of alternative materials,
practices of funding that demonstrates a
commitment to sustainability.


Safety performance including number of lost-time
injuries per 1,000 man-hours worked and overall
safety program employed during the construction
phase.
Environmental considerations including special steps
taken to preserve and protect the environment,
endangered species, etc., during the construction
phase.
Nominated by:
(can only be nominated by managing
public agency or APWA chapters.) Projects that involve or reside
within two or more chapters locations can be co-nominated.
Each chapter will receive credit to submit a PACE nomination. All
chapters must be identified on the nomination form and before
the nominations are judged.
_________________________________________________
Name
_________________________________________________
Title
_________________________________________________
Agency/Organization
_________________________________________________
Address (if post office box, include street address)
__________________________________________
City
Community relations-a summary of the efforts by
the agency, consultant and contractor to protect
public lives and property, minimize public
inconvenience and improve relations.

Unusual accomplishments under adverse conditions,
including but not limited to, adverse weather, soil or
site conditions, or other occurrences over which
there was no control.

Additional considerations you would like to bring to
the attention of the project review panel, such as
innovations in technology and/or management
applications during the project.
NOTE: Supporting documentation is limited to 20 pages,
exclusive of photographs and nomination form.
Photographs will be used for promotional purposes by
the association. Submittal should include nomination
form and supporting documentation form, and
photographs. No letters of recommendation please.
Simultaneous nomination of the same project in both
Public Works Project of the Year and SC/RC Project of the
Year or in two categories is not permitted.
Nominations not chosen in a specific year for the Public
Works Project of the Year-Small Cities/Rural Communities
Award cannot be resubmitted in a subsequent year in the
other category.
Zip/Postal Code
__________________________________________
Phone

State/Province
Fax
__________________________________________
E-mail
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